5th Global Congress on Contemporary Sciences & Advancements
Hosted from Singapore
10th May 2021
www.econferenceglobe.com
94
STUDY OF THE FACTORS OF THE OCCURRENCE OF
HYPERTENSION-HYDROCEPHAL SYNDROME IN CHILDREN
UNDER
THREE MONTHS
Djurabekova Aziza Taxirovna
Doctor of Medical Sciences, Prof.
Head of the Department of Neurology and Neurosurgery,
Samarkand State Medical Institute,
Muxamadiev Ravshanxon Tulkinovich
Master student of the
Department of Neurology
Samarkand State Medical Institute,
The syndrome of impaired CSF dynamics in children occupies a significant place in the
number of perinatal lesions of the central nervous system. The statistical data of many
authors confirm the leading place of the hypertensive-hydrocephalic syndrome, which makes
up about 55%
of all perinatal disorders, often leading to the disability of children (7, 9).
Endogenous and endocrine factors, such as severe pregnancy, complicated infection of the
mother and child, difficult childbirth with damage to the vertebral and occipital bones, under
the influence of intra uterine force
and intra abdominal pressure, which inevitably leads to
CSF disturbance (1, 3,). All this creates the urgency of the problem in terms of the
consequences of perinatal diseases. Another problem, despite
advances in science and
diagnostics, is not the specificity of clinical syndromes; the state of adaptation, the
immaturity of the cortical functions, the compensatory capabilities of the child's brain in the
period of the first three months, are the reason for the absence of early focal factors. The main
approach to such patients, according to many countries, is dynamic observation (2, 4, 8). The
progression of restless behavior, profuse regurgitation, monotonous crying, can be caused by
characteristic signs of increased intracranial pressure. Alertness of doctors should cause
symptoms of divergence of the cranial sutures, bulging fontanelle,
rapid growth rate of the
head, overflow of the foot veins of the head, all these signs indicate a change in CSF dynamics
and damage to the central nervous system (5, 6). Thus, the determination of the cause of
factorial disorders occurring during childbirth, leading to hypertensive-hydrocephalic
syndrome, their consequences is
important in the early period, to substantiate the
etiopathogenetic approach to the treatment of this category of children.
Purpose. To study the factors of occurrence of hypertensive-hydrocephalic syndrome (HGS) by
the method of early diagnosis in children in the perinatal period.
Material and research methods. Children were examined in the neonatal pathology
department (children's multidisciplinary hospital in Samarkand), the neurology and
neurosurgery department of the 1-Clinic SamMI, for the period 2019-2021. The use of
ultrasound examination (neurosanography) made it possible to exclude structural changes in
the brain (infection, developmental anomaly). The total number of examined children was 46,
including 30 children with HGS of hypoxic-ischemic
and post-traumatic genesis, 16 healthy
children. Children of the main group 10 children from 0 to 1 month, 10 from 1 to 2 months, 10
children from 2 to 3 months. The number of boys turned out to be more than 19 children,
girls, respectively 11. The research methods included a standard examination by a
neonatologist,
neurological status, anamnesis of the mother (period of pregnancy);
neurosanography, ultrasound examination of the cervical and lumbosacral spine (taking into
account the increasing force of contractions for resistance from the muscles of the pelvic bones